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Basic Insurer Requirements

understand how insurance companies operate & the rules they must follow

Understanding Basic Insurer Requirements

Lawyers Representing Clients in Texas, Louisiana & Mississippi

Insurance matters can be complicated, calling for qualified and insightful counsel in these areas. If you are wondering what the basic insurer requirements in your state are and how those may affect your claim, Arnold & Itkin is here to provide answers. We understand that this can be an overwhelming and challenging time—especially when working with difficult insurance companies to get claims resolved. We are here to help.

Our insurance claim attorneys are proud to serve clients in Texas, Louisiana, Mississippi, and surrounding areas. If you have further questions, we encourage you to contact us today at (888) 493-1629.

Insurer Requirements in Texas

Pursuing an insurance claim in Texas? There are few things you should know in regards to insurer requirements.

For example, within 15 business days of your notice, an insurer must:

  • Acknowledge their receipt of your claim;
  • Begin any necessary investigation of the claim; and
  • Request any items, statements, or forms needed.

Once the insurer has received all items they believe necessary, they are typically required to notify you whether they have accepted or rejected your claim within 15 more business days. Following this, an insurer must make provide payment of the claim (if accepted) within 60 days of receiving the materials they requested. It is also important to know that insurers are obligated by a duty to deal fairly and in good faith when processing and paying claims. That means unnecessary delays or denials may leave room for further legal action. If insurers deny or delay a claim, they must be able to establish a bona fide reason as to why this action is appropriate to avoid liability.

Insurer Requirements in Louisiana

In Louisiana, insurers are not held under as strict policies as they are in Texas. Under the law, an insurer must merely acknowledge a claim in a prompt timeframe and investigate this claim within a reasonable period, leaving much room for interpretation as to what “prompt” and “reasonable” mean. Claims filed under health and accident policies, however, must be paid within 30 days from when the insurer first receives notice of and evidence for the claim. Louisiana does have similar requirements on good faith and fair dealing under La. R.S. 22:1882 and 22:1973.

All insurance companies in Louisiana are expected to:

  • Treat their policyholders fairly and in good faith
  • Provide full payment of the validated claim within 30 days
  • Take steps to adjust the claim within 14 days of receipt
  • Pay settlement agreement in a reasonable, timely fashion
  • Avoid misrepresenting important facts or policy
  • Adjust insurance claims fairly

If insurance companies fail to act within these requirements, they may be liable for damages suffered by their policyholders.

Insurer Requirements in Mississippi

Similar to other states, Mississippi requires insurers to conduct a “reasonably prompt” investigation of all the relevant facts and information they have been given regarding a claim. The insurer must perform a full and adequate investigation of the claim promptly. Additionally, if an insurer wishes to deny a claim, they must be able to present an arguable basis for their denial of the claim and must do so in good faith.

Whether you need to file a homeowner, business, or bad faith claim, it is crucial that you understand your rights during this process. Contact our insurance claim lawyers or fill out a case evaluation form today!

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  • $8 Billion Top 3 Largest Jury Verdict in U.S. History Arnold & Itkin LLP tried a Risperdal case against Johnson & Johnson for failing to warn about one of the drug’s most damaging side effects: gynecomastia. Our skill, hard work, and dedication resulted in the third-largest jury verdict ever obtained ...
  • $357 Million Largest Workplace Accident Settlement in Texas history Arnold & Itkin LLP secured a massive nine-figure settlement against a transnational corporation for a workplace incident. The settlement set a Texas record for being the largest personal injury settlement in the state’s history.
  • $205 Million Confidential Settlement Obtained for Numerous Clients Arnold & Itkin reached a record $205,000,000 settlement on behalf of clients after several years of hard-fought litigation. The case settled just before trial was set to begin.
  • $171 Million One of the Largest Confidential Settlements in History Arnold & Itkin worked over the course of several years to represent clients in a case that many other law firms turned down. In the end, we were able to obtain a record-setting confidential settlement of $171 million.
  • $117 Million Largest Single-Event Personal Injury Verdict in Louisiana History Arnold & Itkin represented a pregnant woman who experienced stomach pain and called Acadian Ambulance. The driver of the ambulance drove the ambulance into the back of a sugar cane truck causing the plaintiff's spine to be severed at T4 and for her ...
  • $116 Million Confidential Settlement Arnold & Itkin LLP negotiated a massive nine figure settlement on behalf of their clients after several years of hard fought litigation.
  • $110 Million Record Settlement Achieved for Victims of Defective Products Arnold & Itkin obtained a record settlement for individuals harmed by defective, dangerous products. The result exemplifies our commitment to clients and justice for those seriously injured by the conduct of others.
  • $105 Million Record Settlement for Dangerous Product Victims Arnold & Itkin’s legal team helped represent those harmed by dangerous products. We were successful in recovering a $105 million settlement.
  • $97 Million Massive Settlement Secured for Refinery Workers Arnold & Itkin is proud to share that after months of preparation for trial, our firm was able to secure a huge settlement for clients who were injured in a refinery fire. Find out more now.
  • $92.7 Million Record Settlement for Burn Injury Victim Arnold & Itkin LLP secured a substantial settlement for a man who suffered severe burns in an accident at his job. The settlement set a new record statewide for workers with similar injuries.
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